Organization
JURIM DENTAL GROUP
Active
Other names
integratedDENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM RICHICHI (CHIEF OPERATING OFFICER)
(516) 677-9010
Entity
Organization
Contact information
Practice address
370 CROSSWAYS PARK DR, WOODBURY, NY 11797-2050
(516) 677-9010
Mailing address
370 CROSSWAYS PARK DR, WOODBURY, NY 11797-2050
(516) 677-9010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054399
NY
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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